
A Design
for Change
Short-term psychotherapy for adults seeking to understand and change self-defeating emotional patterns and behaviors.
Some things keep returning.
Short-term psychotherapy for adults seeking to understand and change self-defeating emotional patterns and behaviors. Individual therapy for adults aged 18 and over.
You may notice the same difficulties returning:
- In relationships
- In the way you respond to stress
- In habits you find hard to change
- Anxiety, depression, addiction, self-sabotage, or problems with intimacy
Three steps.
A free introductory call
A free 20-minute call on Zoom, or by phone if needed. A first conversation, not recorded.
An initial session
An initial session of up to two hours. If it is shorter, the fee is reduced.
One-hour sessions
Followed by one-hour sessions, to a maximum of 26 sessions, roughly six months. Treatment may finish sooner.

Max Bird-Ridnell.
I trained in Intensive Short-Term Dynamic Psychotherapy with Allan Abbass, Jon Frederickson, and John Rathauser.
I am Clinical Director of Stairway Resource Center, an intensive outpatient addiction program.
More about MaxQuestions about the work.
How long does it take?
An initial session of up to two hours, followed by one-hour sessions, to a maximum of 26 sessions, roughly six months. Treatment may finish sooner.
What does it cost?
$300 per hour. The initial session lasts up to two hours; if it is shorter, the fee is reduced.
Is it covered by insurance?
I don’t bill insurance directly; a superbill is available on request.
Is it online or in person?
In person in Los Angeles, and via Zoom.
Are sessions recorded?
As is traditional in ISTDP, sessions are videotaped so that I can review the work and streamline the treatment. Another clinician cannot view a recording without your consent. The introductory call is not recorded.
Who is it for?
Individual therapy for adults aged 18 and over. I don’t offer couples or family therapy.